| NPI | 1770862021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRENIA MESA President 407-462-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL MA61948) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |